Crater Lake Surgery Center LLC is a healthcare organization in Medford, OR, registered under ambulatory surgical center. According to Medicare claims data, the services billed most often include injection of lower or sacral spine facet joint using imaging guidance, single level, destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, and injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography. This provider record is associated with NPI 1679939318.
Factual summary compiled by Guide.md from public records; not written by this provider.
833 BENNETT AVE
Medford, OR 97504
835 Bennett Ave
Medford, OR 97504
1,644 services · 819 patients · 12 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Injection of lower or sacral spine facet joint using imaging guidance, single level | Procedure | 64493 |
395 |
| Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | Procedure | 64635 |
251 |
| Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | Procedure | 64483 |
237 |
| Injection of substance into lower spine canal using imaging guidance | Procedure | 62323 |
141 |
| Injection of upper or middle spine facet joint using imaging guidance, single level | Procedure | 64490 |
93 |
| Injection of substance into middle or upper spine canal using imaging guidance | Procedure | 62321 |
74 |
| Insertion of spinal neurostimulator electrode array through skin | Procedure | 63650 |
70 |
| Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | Procedure | 64633 |
59 |
| Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | Procedure | 64628 |
26 |
| Destruction of nerve branches of knee using imaging guidance | Procedure | 64624 |
26 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Crater Lake Surgery Center LLC is an ambulatory surgical center in Medford, OR. That is the designation recorded for this NPI in the federal registry.
NPI registry
Crater Lake Surgery Center LLC is listed at 833 Bennett Ave, Medford, OR 97504. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (541) 779-5228. Contact the office directly to confirm availability and scheduling.
NPI registry
Crater Lake Surgery Center LLC's National Provider Identifier is 1679939318. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
According to Medicare billing data, Crater Lake Surgery Center LLC performs procedures including injection of lower or sacral spine facet joint using imaging guidance, single level, destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint and injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Crater Lake Surgery Center LLC. If this is you, claiming it is free.
Guide.md
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